Hepatic hemangioma

Case contributed by Thuấn Nguyễn Hoàng
Diagnosis certain

Presentation

General examination. Ultrasound shows a large mass in segment V of the liver, suspicious of hepatocellular carcinoma.

Patient Data

Age: 55 years
Gender: Male
ct

Non-enhanced CT shows multiple hypoattenuation masses in the liver. The biggest mass is in the V segment. The arterial phase shows discontinuous, nodular, peripheral enhancement. The portal venous phase shows progressive peripheral enhancement with the central fill-in. The delayed phase shows homogenous hyperattenuating enhancement. No mass in the pancreas and spleen is seen. No evidence of enlarged lymph node.

Case Discussion

These typical findings suggest multiple hepatic hemangiomas.

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